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How to Enhance Your Breasts Without Implants

Posted on: November 17th, 2017
By: Office of Dr. Todd B. Koch

Your dissatisfaction with the appearance of your breasts may have nothing to do with their size. While many people assume the only way to improve their breasts is with an augmentation, Dr. Koch offers alternative breast solutions for women whose breast problems cannot be solved just by using implants. Our techniques are tailored to meet your aesthetic needs, helping to restore an attractive and natural breast appearance.

Have a Breast Lift

Breast Lift patient of Dr. KochYou may have become dissatisfied with your breast appearance over time. Sagging breasts can be unattractive and age your appearance. Genetics and gravity will determine the extent of your breast droop, but pregnancy or weight loss can exacerbate the situation. You should consider having a breast lift if you are satisfied with the volume of your breasts, but are unhappy with their placement.


You may be a good candidate for a breast lift if you have one or more of the following issues:

  • Breast tissue that sits at or below the inframammary fold
  • Nipples that are positioned low on your breast tissue
  • Nipples that point down toward the floor
  • Areolas that are too large for your breasts

Correct Nipple Appearance

Defined nipples can help the breasts have a natural, pleasing look for many women. If you have inverted or flat nipples, you may be unhappy with the overall appearance of your breasts. Conversely, nipples that protrude too much, or nipple hypertrophy, can be an embarrassment. Ideal nipple size and shape is a subjective issue, which ultimately depends on how your nipple appearance impacts your confidence. We can correct both inverted or protruding nipples to enhance the overall look of your breasts.


You may be a good candidate for a nipple correction if you have one or more of the following issues:

  • Flat nipples that don’t protrude from the breasts
  • Women whose nipples are visible through clothing
  • Women who have finished having children or those who do not plan to breastfeed

Talk With Your Surgeon

While you may not like the idea of breast implants, sometimes they are the best treatment for poorly shaped or sized breasts. An expert surgeon, like Dr. Koch, can provide enhancement using implants that look and feel natural. You should always schedule a consultation with a breast specialist to have an evaluation of your needs. Together, you will develop a breast enhancement plan that will have you looking and feeling amazing.

Can Plastic Surgery Make You Look Like a Celebrity?

Posted on: October 4th, 2017
By: Office of Dr. Todd B. Koch

Reflection of woman checking her skin in bathroom mirrorWith a quick online search, you can find headline after headline talking about the human Barbie, or how a man paid hundreds of thousands of dollar to look like Justin Bieber. While these are extreme cases of celebrity look-alike plastic surgery, the question is still common in more mild ways—“Can you make me look like this person?”

The short answer is, probably not. Most people want only an aspect of a celebrity, like the nose, lips, or cheeks. But setting your expectations for your plastic surgery procedure is more involved than trying to look like a certain person.

Focus on Your Facial Anatomy

Your general anatomy plays a primary role in the type of enhancement we choose for your surgery. When correcting the nose, adding implants, or placing injectables, we want to add to your features. If you don’t have the similar facial structures as the celebrity you want to emulate, chances are altering your nose to match theirs won’t give you the results you desire. In most cases, you’ll simply end up disappointed. It’s better if we make changes that highlight your facial anatomy.

Natural Results Are Goals

While you may want dramatic results, what’s important is that your final appearance looks natural. Nothing is worse than obvious plastic surgery. You want your beauty to look like your own. Your surgeon will make suggestions as to what the best techniques are for your needs, and all changes should be in balance with your facial features. Beautifully flawless results are what we strive to achieve.

Have Realistic Expectations

Thinking your plastic surgery will help you look like a specific celebrity gives you unrealistic expectations. While referring to celebrities for the shape, definition, or size inspiration during your consultation is fine, you should expect your surgeon to recommend changes that fit with your appearance.

For a face, breast, or body consultation, you can contact Dr. Koch today. Call our office at (716) 631-1220, or you can contact us online.


Eliminate My Double Chin

Posted on: September 19th, 2017
By: Office of Dr. Todd B. Koch

3 Kybella treatments 6 weeks apart by Dr. KochThe dreaded double chin is probably one of the most frustrating facial characteristics to change. While many people assume that a double chin develops because of weight gain, the fact is, even fit people can be prone to fat accumulation at the neck. For many, diet and exercise yields little results for improving a double chin. Luckily, there are two techniques available to help give you the facial shape you’ve always wanted.

Liposuction to Treat a Fatty Chin

Liposuction is the most effective form of fat removal available. However, it is considered a surgical treatment, and most people require some form of anesthesia for their treatments. A small incision is created under the chin, which is usually undetectable once healed. With liposuction, we can permanently remove fat from below the chin and provide a sculpted facial appearance in just one treatment.

KYBELLA® for Non-Surgical Double Chin Treatment

KYBELLA® is a newly FDA-approved treatment for the double chin. It is a non-surgical injection that dissolves fat and requires zero post-treatment downtime. KYBELLA® treats patients who have mild to moderate submental fat. While it permanently eliminates fat, its results may not be as consistent as liposuction, and multiple treatments may be necessary to achieve your ideal results.

Am I a Good Candidate?

Any procedure should only be performed on healthy individuals. KYBELLA® and liposuction yield the best results when performed on patients with good neck elasticity. If you have lax neck skin, a neck lift may be considered in combination with your fat removal process. A consultation is needed to determine the most effective double chin treatment for you. Factors such as the amount of fat, areas of accumulation, skin elasticity, and final cost can impact the technique you choose for your treatment.

If you are ready to see which treatment will give you the facial shape you’ve always wanted, schedule a consultation with Dr. Koch. You can call our office at (716) 631-1220, or you can contact us online.

A Back-to-School Treat for You

Posted on: August 22nd, 2017
By: Office of Dr. Todd B. Koch

Mom and schoolgirl of primary school holding handsThe summer season is a hectic time for most moms. Kids full of energy at home 24/7, sports practice, swimming lessons, and activities with friends. You can run yourself ragged over the summer and forget to take any time for yourself. That back-to-school moment can be sad, but it can also provide you with some much-needed time to enjoy the calm. As you send your kids back to school, it might give you the chance to reflect on what you can do for yourself.

The busy lifestyle of a parent may mean that you spend less time focusing on yourself. It is common for us to see moms who are stressed, tired, and unhappy with their appearance. After having your children, restoring your pre-baby body may be more difficult to achieve than you thought. A Mommy Makeover may be just what you need to refresh your appearance and reclaim your confidence.

Mommy Makeover When Your Kids Return to School

It can be difficult to find the perfect time to undergo your Mommy Makeover, but the back-to-school season may be ideal for you. While you will still need help from your partner and friends with a carpool system, you will have long periods alone to recover, and you won’t need to do heavy lifting like if you had a baby still. The peace and quiet you have while the kids are away will help you recover quickly.

Additionally, undergoing a Mommy Makeover in the fall will help ensure that you are fully healed by the time the holidays roll around. You should always plan surgery at least two months before any major event to give enough time for swelling to subside and your results to become noticeable.

What Does Mommy Makeover Surgery Correct?

  • Volume loss: A breast augmentation uses implants to restore lost breast volume that women often experience after nursing.
  • Breast sagging: A breast lift repositions and firms the breasts for a more youthful and revitalized appearance.
  • Abdominal pooch: A tummy tuck can restore a tighter, firmer abdominal contour, which you may struggle to achieve through diet and exercise.
  • Stretch marks: A tummy tuck can also improve the amount and visibility of stretch marks by removing redundant folds of skin on which they are present.
  • Excess fat: Liposuction can treat areas with stubborn fat deposits for a slimmer, toned appearance.

For more information about the Mommy Makeover recovery process, or to schedule a consultation with our board-certified plastic surgeon, contact Dr. Koch today. You can call our office at (716) 631-1220 or contact us online.

Top 3 Reasons for Implant Exchange

Posted on: July 13th, 2017
By: Office of Dr. Todd B. Koch

Implant Exchange Before and After PhotosHave you previously undergone a breast augmentation and still aren’t happy with your results? It can be frustrating to spend the money and time trying to achieve your ideal look only to have your procedure not provide you with the results you want. Dr. Koch sees many women looking to improve their breast augmentation results and recommends implant exchange if you aren’t happy with your breast appearance. These are the top 3 (but certainly not the only) reasons implant exchange may be right for you.

1. Poor Sizing

Ideal breast size varies among women because no two ladies have the same body type or shape. Determining implant size during the augmentation process is a delicate balance of your wants and your existing body proportions. 3D imaging is a very helpful tool in selecting the appropriate size before surgery. Sometimes, the wrong implant size is chosen, resulting in dissatisfaction with breast size after augmentation. You may feel that your breasts are now too large for your frame, or you may still feel that your breasts are too small. With an implant exchange, we can switch out your current implants for ones that will better provide you with the bust size you desire.

2. Implant Damage

Implant damage can occur at any point after your augmentation, whether within the first year of having your implants or 10 years after your initial procedure. While most implant damage is due to age-related wear and tear. Damage to a breast implant can cause a leak or rupture that will result in a deflated, empty breast. If you have saline implants, ruptures are more immediately noticeable, whereas silicone leaks may not be as visible and may require an MRI to diagnose. It is important to exchange damaged implants as soon as possible to preserve your health and the aesthetics of your breast. Newer gel implants are available that will not leak.

3. Unattractive Appearance

As with determining your size, choosing the best implant type and placement for your breast augmentation is based on a number of factors. The wrong choices for your needs and body type can contribute to an unattractive breast appearance. Saline implants may cause visible rippling in some patients, silicone implants may result in prominent implant edges in others, and subglandular placement may create a more noticeably augmented appearance. Dr. Koch will help you determine which implant factor is causing your unattractive breast appearance and will make a recommendation on how to fix it. Sometimes just the implant type needs to be changed. However, changing the placement of your breast implants can also change the positioning and shape of your bustline.


You can find more reasons for implant exchange on our breast revision page. If you would like more information on the implant exchange process or to schedule your breast consultation, you can call Dr. Koch’s office today at (716) 631-1220, or you can contact us online.

Pre- and Post-Surgery Nutrition

Posted on: June 29th, 2017
By: Office of Dr. Todd B. Koch

There’s a lot you should do to prepare for a plastic surgery procedure. From consultations to lab tests and even setting up your resting place—there is much to do that you may not even stop to think about whether your body is prepared for surgery. Providing your body with the proper nutrients before and after your surgery is essential to a safe procedure and a great recovery.

How Does Nutrition Impact Your Recovery?

healthy food composition It takes energy to heal your body following surgery. If your body is deprived of the proper proteins, vitamins, and minerals it needs, your recovery can take longer, you can feel poorly throughout, and your results may not be as great. Nutrients and hydration play a significant role in skin elasticity, which can impact the quality of your body contouring results.

Eating Healthy Before Surgery

You cannot eat for many hours before your surgery because of the anesthesia used. However, in the weeks leading up to then, you want to make sure your diet is full of the necessary vitamins and minerals your body will need throughout recovery. You should also maintain proper hydration to help keep your body functioning properly. The week before surgery, avoid foods that are just empty calories with no nutritional value. Suggested foods to eat during this time are:

  • Lean proteins (chicken, fish, or turkey)
  • Whole grains (but limit your fiber intake two days before surgery)
  • Fruits (that are high in vitamins B and C)
  • Vegetables (that are packed with iron)

Feed Your Body the Right Way After Surgery

The first day of your recovery can take a toll on you. Nausea may prevent you from wanting to eat solid foods, and a liquid diet may be recommended for the first 24 to 48 hours. However, it is important that you don’t deprive yourself of nutrient-packed foods. Fiber-packed foods may be helpful because anesthesia and pain medication can cause constipation.

Since fatigue is common following any surgery, healthy carbohydrates are necessary to maintain your energy levels. Healthy fats, vitamins, and minerals should be included in your diet to provide your body with necessities to heal itself. Suggested foods include:

  • Dark green veggies
  • Citrus fruits
  • Berries
  • Fish
  • Chicken
  • Nuts
  • Avocados

For more pre- or post-operative information, you can call Dr. Koch’s practice at (716) 631-1220 or contact us online.

Liposuction: Most Popular Procedure of 2016

Posted on: May 23rd, 2017
By: Office of Dr. Todd B. Koch

For years, breast augmentation has been the most popular plastic surgery procedure performed, with over 300,000 women undergoing the procedure each year. Breast augmentation has also seen a steady increase over the past decade as techniques and implant options help women achieve a more natural breast appearance. However, in 2016, liposuction finally overtook breast augmentation in the number of procedures performed.

ASAPS Top Five Procedures in 2016

Courtesy of ASAPS

ASAPS Top 5 Surgical Procedures 2016

Courtesy of ASAPS

Why Did Liposuction Overtake Breast Augmentation?

Beauty trends are always changing, but breast augmentation has been holding steady numbers, with around 300,000 procedures performed annually. Liposuction saw an increase over the last five years but was still trumped by breast augmentation until 2016. The chances are that liposuction has become more popular as body shape has become more important than breast size to many people. Additionally, liposuction was the top male procedure in 2016, with over 45,000 surgeries performed. With an influx of both men and women undergoing the procedure, it makes sense that it became more popular than a gender-specific surgery like breast augmentation.

Why You May Choose Liposuction

Liposuction is the most versatile fat removal procedure available. It safely and effectively eliminates areas of stubborn fat, even contouring finer areas that may not be reached with non-surgical options. You might choose liposuction to improve the definition of your:

  • Liposuction Before and After PhotosAbdomen
  • Hips
  • Thighs
  • Arms
  • Back
  • Neck
  • Legs
  • Chest

 Combining Procedures

The statistics provided by the American Society for Aesthetic Plastic Surgery (ASAPS) don’t indicate whether these liposuction surgeries were performed as standalone procedures or in combination with other surgeries. You can choose to combine your liposuction procedure with tummy tuck, arm lift, body lift, or breast augmentation surgeries for better definition and more beautiful results.

If you are interested in seeing how liposuction can benefit you, schedule your consultation with Dr. Koch today. You can call our office at (716) 631-1220, or you can contact us online.

Eat and Drink Your Way to Clear, Healthy Skin

Posted on: April 12th, 2017
By: Office of Dr. Todd B. Koch

Clear Skin Cartoon

Your skin tells the world what’s happening in your life. If you’re tired, your skin—especially around your eyes—will show it. If you’ve gotten too much sun or are overheated, your skin can offer clues. Your skin is also a reflection of your general health and well-being. Translation? What you put inside your body makes its appearance known on your skin.

Take processed foods for example. Societies and geographical locations that eat very little junk also experience fewer skin issues such as acne and dermatitis than people in locales like the United States. The results shouldn’t be surprising. The more natural, whole foods you eat give your body the essentials it really needs, which means it can spend more time helping to maintain—not to fix—your body’s systems.


Interested in eating well for your skin? Use the ideas in this infographic:

Infographic About What To Eat For Healthier Skin

Cosmetic Touch-Ups Before Summer

Posted on: April 10th, 2017
By: Office of Dr. Todd B. Koch

With summer quickly approaching, people will soon be baring more skin to keep cool under the UV rays. The sun is going to come out soon enough, so it is time to get those last-minute cosmetic “touch-ups” done before summer makes its mark. Some common goals people want to achieve before summer include improving the appearance of their face and getting rid of those last few inches before having to put on a bathing suit at the beach or pool.

Whether you want a smoother, fresher face or a more contoured, flattering physique, Dr. Koch offers a variety of procedures that are bound to help you meet your goals.

Procedures for Your Last-Minute Touch-Ups

With so many options available, you can choose to undergo one or more cosmetic procedures to help you look your best this upcoming summer season. You won’t feel the need to shy away once the hot summer sun comes out after taking advantage of these “touch-up” procedures.

Cosmetic Facial Aging Treatments

  • BOTOX® Cosmetic: This injectable contains a protein neurotoxin derived from botulinum toxin A, which temporarily paralyzes the facial muscles to prevent them from contracting. BOTOX® Cosmetic can reduce the appearance of:
    • Crow’s feet
    • Frown lines
    • Forehead lines
  • Skin resurfacing: A chemical solution is applied to the skin to thin the outer layer, which allows the skin to create more collagen and grow new, healthy skin cells. Skin resurfacing can reduce the appearance of:
    • Facial wrinkles
    • Sun-damaged skin
    • Acne scars

Body Shaping Procedures

  • Liposuction
    Liposuction Outer Thighs Before and After

    Liposuction of the outer thighs.

    : A small, thin tube (cannula) is used to remove excess fat from specific areas of the body and sculpt the desired contours. Liposuction is not a substitute for a healthy lifestyle; it is ideal for patients who have stubborn localized fat that is resistant to diet and exercise.

  • Fat transfer: Using the liposuction procedure, unwanted fat is removed from one area of the body, and the fat is then purified and injected into the buttocks to create shape and add volume.  

It is the perfect time of year to get your skin fresh and body into shape before throwing on more revealing clothing. You can get summer-ready by undergoing one or a combination of facial rejuvenating and body sculpting treatments.

Dr. Koch can evaluate your body and your goals to help you decide on the best treatment for your needs. Schedule your consultation by calling (716) 631-1220 or by filling out our online contact form.